| NPI | 1538603063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SCHORR Owner 209-892-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: CA G44829) |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2016-12-19 |